Integration of Geriatric Education Within the American Board of Emergency Medicine Model

Background: Emergency medicine (EM) resident training is guided by the American Board of Emergency Medicine Model of the Clinical Practice of Emergency Medicine (EM Model) and the EM Milestones as developed based on the knowledge, skills, and abilities (KSA) list. These are consensus documents devel...

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Main Authors: Lauren T. Southerland, Lauren R. Willoughby, Jason Lyou, Rebecca R. Goett, Daniel W. Markwalter, Diane L. Gorgas
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2023-12-01
Series:Western Journal of Emergency Medicine
Online Access:https://escholarship.org/uc/item/1q13n83m
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author Lauren T. Southerland
Lauren R. Willoughby
Jason Lyou
Rebecca R. Goett
Daniel W. Markwalter
Diane L. Gorgas
author_facet Lauren T. Southerland
Lauren R. Willoughby
Jason Lyou
Rebecca R. Goett
Daniel W. Markwalter
Diane L. Gorgas
author_sort Lauren T. Southerland
collection DOAJ
description Background: Emergency medicine (EM) resident training is guided by the American Board of Emergency Medicine Model of the Clinical Practice of Emergency Medicine (EM Model) and the EM Milestones as developed based on the knowledge, skills, and abilities (KSA) list. These are consensus documents developed by a collaborative working group of seven national EM organizations. External experts in geriatric EM also developed competency recommendations for EM residency education in geriatrics, but these are not being taught in many residency programs. Our objective was to evaluate how the geriatric EM competencies integrate/overlap with the EM Model and KSAs to help residency programs include them in their educational curricula. Methods: Trained emergency physicians independently mapped the geriatric resident competencies onto the 2019 EM Model items and the 2021 KSAs using Excel spreadsheets. Discrepancies were resolved by an independent reviewer with experience with the EM Model development and resident education, and the final mapping was reviewed by all team members. Results: The EM Model included 77% (20/26) of the geriatric competencies. The KSAs included most of the geriatric competencies (81%, 21/26). All but one of the geriatric competencies mapped onto either the EM Model or the KSAs. Within the KSAs, most of the geriatric competencies mapped onto necessary level skills (ranked B, C, D, or E) with only five (8%) also mapping onto advanced skills (ranked A). Conclusion: All but one of the geriatric EM competencies mapped to the current EM Model and KSAs. The geriatric competencies correspond to knowledge at all levels of training within the KSAs, from beginner to expert in EM. Educators in EM can use this mapping to integrate the geriatric competencies within their curriculums.
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spelling doaj.art-bb3b4cf146824700888359cf0d9423822024-01-12T15:41:08ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182023-12-01251516010.5811/westjem.6084260842Integration of Geriatric Education Within the American Board of Emergency Medicine ModelLauren T. Southerland0Lauren R. Willoughby1Jason Lyou2Rebecca R. Goett3Daniel W. Markwalter4Diane L. Gorgas5The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioThe Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioThe Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioRutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New JerseyUniversity of North Carolina School of Medicine, Department of Emergency Medicine, Chapel Hill, North CarolinaThe Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioBackground: Emergency medicine (EM) resident training is guided by the American Board of Emergency Medicine Model of the Clinical Practice of Emergency Medicine (EM Model) and the EM Milestones as developed based on the knowledge, skills, and abilities (KSA) list. These are consensus documents developed by a collaborative working group of seven national EM organizations. External experts in geriatric EM also developed competency recommendations for EM residency education in geriatrics, but these are not being taught in many residency programs. Our objective was to evaluate how the geriatric EM competencies integrate/overlap with the EM Model and KSAs to help residency programs include them in their educational curricula. Methods: Trained emergency physicians independently mapped the geriatric resident competencies onto the 2019 EM Model items and the 2021 KSAs using Excel spreadsheets. Discrepancies were resolved by an independent reviewer with experience with the EM Model development and resident education, and the final mapping was reviewed by all team members. Results: The EM Model included 77% (20/26) of the geriatric competencies. The KSAs included most of the geriatric competencies (81%, 21/26). All but one of the geriatric competencies mapped onto either the EM Model or the KSAs. Within the KSAs, most of the geriatric competencies mapped onto necessary level skills (ranked B, C, D, or E) with only five (8%) also mapping onto advanced skills (ranked A). Conclusion: All but one of the geriatric EM competencies mapped to the current EM Model and KSAs. The geriatric competencies correspond to knowledge at all levels of training within the KSAs, from beginner to expert in EM. Educators in EM can use this mapping to integrate the geriatric competencies within their curriculums.https://escholarship.org/uc/item/1q13n83m
spellingShingle Lauren T. Southerland
Lauren R. Willoughby
Jason Lyou
Rebecca R. Goett
Daniel W. Markwalter
Diane L. Gorgas
Integration of Geriatric Education Within the American Board of Emergency Medicine Model
Western Journal of Emergency Medicine
title Integration of Geriatric Education Within the American Board of Emergency Medicine Model
title_full Integration of Geriatric Education Within the American Board of Emergency Medicine Model
title_fullStr Integration of Geriatric Education Within the American Board of Emergency Medicine Model
title_full_unstemmed Integration of Geriatric Education Within the American Board of Emergency Medicine Model
title_short Integration of Geriatric Education Within the American Board of Emergency Medicine Model
title_sort integration of geriatric education within the american board of emergency medicine model
url https://escholarship.org/uc/item/1q13n83m
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